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Individual

DR. CONNIE JEAN CRAWFORD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
884 HILLSIDE AVE, ANTIOCH, IL 60002-1226
(847) 395-4090
Mailing address
395 CAPITAL LN, GURNEE, IL 60031-4496
(847) 548-9077

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-0079136
IL

Other

Enumeration date
02/06/2006
Last updated
07/08/2007
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